Individual
DR. GEORGE E JENKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-5698
Mailing address
555 MOUNT PROSPECT AVE APT 15C, NEWARK, NJ 07104-1534
(973) 485-6368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50 053298
NY
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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